The main need we face to be able to carry out this project is the financial resource necessary to be able to extend the services the clinic offers being able, at the same time, to implement, a structure of work and functioning to allow us having children admissions. This is the case of the children that need to be stabilized in order to be transferred to other facilities.
Moreover, admissions are mainly targeted to children with severe malnutrition needing up to 3 or 4 weeks to their completely recovery. Now we have to transfer them to the reference hospital (where there are admissions) that is 100 kilometers away. This supposes a great disorder for the families, because they must leave their other children under the supervision and care of other persons. In fact, many times when we explain them that they must go to the center of reference, they always say “yes”, but we know that finally they don’t go.
It is necessary to evaluate any particular case attending the clinic, especially when there is a social problem (and if it is a child suffering malnutrition, we do know there are social problems!). We need to see what the family can assume and what they cannot. Sometimes, we think it is enough to tell them that they need to go to the hospital because the child is going to die, but this is not enough because they are renouncing to many things to care that child.